title: Management and outcomes of intraocular lens dislocation in patients with pseudoexfoliation.
abstract: OBJECTIVE
  To analyze the outcomes of surgery for dislocated intraocular lenses (IOLs) in patients with pseudoexfoliation (PXF).
  
  
  METHODS
  Private practice, Boston, Massachusetts, USA.
  
  
  METHODS
  Retrospective case study.
  
  
  METHODS
  Eyes with PXF and IOL dislocations that had IOL exchange or repositioning were reviewed. An outcomes analysis compared the surgical techniques with regard to corrected distance visual acuity (CDVA), intraocular pressure (IOP), and glaucoma medication requirements.
  
  
  RESULTS
  The IOL exchange was performed in 64 eyes (79%) and IOL repositioning in 17 eyes (21%). The CDVA improved in all eyes, from a preoperative mean of 0.78 logMAR ± 0.50 (SD) to a mean of 0.35 ± 0.31 logMAR at the final follow-up (mean 2.5 ± 2.6 years) (P<.0001). The mean IOP was reduced by 4.2 mm Hg at the final follow-up (P<.0001). The mean glaucoma medication requirement remained stable at the final follow-up compared with the preoperative levels (P>.05). There were no significant differences in the mean CDVA, IOP, or glaucoma medication requirement between eyes that had IOL exchange and eyes that had IOL repositioning. There were no significant intraoperative complications. The most common postoperative complication was a transient decrease in IOP to 5 mm Hg or lower or an increase in IOP to 30 mm Hg or higher.
  
  
  CONCLUSIONS
  Patients with PXF having surgical treatment of IOL dislocation have the potential for excellent visual outcomes with minimal intraoperative and postoperative complications.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Ophthalmic Consultants of Boston and the Center for Eye Research and Education, Boston, Massachusetts, USA. bjshingleton@eyeboston.com
authors.forename: Bradford J
authors.initials: BJ
authors.lastname: Shingleton
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.forename: Mark W
authors.initials: MW
authors.lastname: O'Donoghue
mesh_terms: D000369:Aged, 80 and over; D060437:Artificial Lens Implant Migration / Q000209:etiology / Q000601:surgery*; D017889:Exfoliation Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology